HomeMy WebLinkAbout0041 WINDSHORE DRIVE - Wood Stove Permit 08/31/79 TOWN OF BARNSTABLE
,639. MASSACHUSETTS '
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Wood Stove Permit
DATE OF APPLICATION .............'......`"'..................................................... FIRE DEPT. ISSUING PERMIT .
NAME (owner) JV ........ ! t NAME (Installer) ................... ' ...............................................
ADDRESS ........ ......... /Gw-R ADDRESS ...........................................................
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........................................................................................ ................................................................
STOVE TYPE ................................................................�� C- A1 A * J.:9-4) ..... CHIMNEY: NEW ........................ EXISTING... ................................
Manufacturer ..................................................................................................................... CHIMNEY: Masonry .. ..........,.......:!..�`:...:............. .F. ..............
Mass. Approval ............................................................................................................ CHIMNEY: Metal .................................................:..............................................
This is to certify that the above installer has permission to install a wood burning appliance at the listed address
in accordance with an application on file with the .. .�r-!-!a ?............................................... Fire Department,
and subject to the provisions of the Commonwealth of Massachusetts State Building Code and regulations made
under the authority thereof.
IssuedBy: .. ..................................................r :.....' �-�.... ..............................Title . ...�� ......... Date .'... .. ... ��.... �•• a. 7. . .... . .. .. ....
Permit to install expires 60 days after issue date
Stove .................. .. '.?.....................................................................................................................................................I ..
Stove Clearance ... .........:.....................................................................................:......................................(... ...............:q.............::...................................................................._.............
.....
Floor ........................f .....��................................................................................................................................. ............................................................................................................................
Smoke Pipe ............ ..1. ..................................................................................................................................... ...................................................: f ..............................................
........:: ......:.
SmokePipe Clearance .. .... ........................................................................................................................... � .r.. '.. .......................................................
Chimney ............{�..r1.......................................................................................................................................b .................. ............................................................./acf............�. .r . `
SmokeDetector .................................................................................................................... ......... . ...... ........... .........
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The undersigned hereby certifies that the installation of wood burning stove and-equipmei t made under author-
ity of permit dated .................................................................. has been made in accordance with provisio,ns of-.,the Commonwealth
of Massachusetts State Building Code now currently in effect and pertaining thereto --
Installer
INSTALLATION APPROVED _ Title: _... _ _.
— j r ...l�� B �! , } :..�,f, . /I
date • ' 1
WHITE: FIRE DEPARTMENT - CANARY: BUILDING INSPECTOR - PINK: APPLICANT
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